[Susac syndrome, retinocochleocerebral microangiopathy: contribution of MRI]

F Le Moigne1, J-L Lamboley, T Vitry

  • 1Service d'imagerie médicale, hôpital d'instruction des armées Desgenettes, 69003 Lyon, France. frlemoigne@aliceadsl.fr

Insights

This case report highlights Susac syndrome, a rare neurological disorder. Early diagnosis is possible with brain MRI, even with varied neurological symptoms.

Area of Science:

  • Neurology
  • Radiology
  • Ophthalmology

Background:

  • Susac syndrome is a rare autoimmune condition affecting the brain, retina, and inner ear.
  • It typically presents with a triad of encephalopathy, retinal artery occlusions, and sensorineural hearing loss.

Observation:

  • A 27-year-old woman presented with diverse neurological symptoms.
  • Brain MRI revealed multifocal T2-hyperintense signals, particularly affecting the corpus callosum.
  • Retinal arterial branch occlusion and right-sided hypoacusis were key diagnostic indicators.

Findings:

  • The case demonstrates the characteristic imaging findings of Susac syndrome.
  • Brain MRI is crucial for identifying multifocal lesions and aiding early diagnosis.
  • The combination of neurological, visual, and auditory symptoms confirmed the diagnosis.

Implications:

  • This case underscores the importance of comprehensive neuroimaging in diagnosing Susac syndrome.
  • Early MRI detection can facilitate timely intervention and management of this rare condition.
  • Understanding the imaging spectrum is vital for neurologists and radiologists managing Susac syndrome.